Solutions & Services

We offer a full suite of pharmacy audit, procurement, consulting and implementation services that will significantly lower healthcare costs, conform with all applicable regulations and produce a positive return on investment.

Performance Pharmacy Solutions

Our one-stop solution for benefit advisors, PPS takes
the guesswork out of identifying a PBM partner that’s right for your organization and its members.

Ben Politte

AVI PELTA

BILL LENSKOLD

ANTHONY (AJ) SOMAINI

The client was unable to obtain a pharmacy contract from its health plan and unable to validate pricing or rebate value. Through advanced analysis, working in close partnership with the company’s benefits advisor, we drove savings of more than $1 million.

Financial Institution (5,600 lives, Pennsylvania)

The client had five individual hospitals, each with its own PBM contract. Our Strategic Sourcing solution consolidated five contracts into one and leveraged internal dispensing capabilities, which resulted in a cost savings of 21%.

Hospital System (25,000 lives)

Without any internal resources or insider PBM expertise, the client was unable to integrate detailed contract language or raw claims data. Quarterly Performance Analytics Contract Compliance Analytics identified a nuanced contractual commitment that was not accurately coded in the PBM’s system, resulting in a $5 million refund to the plan.

Regional Health Plan (800,000 lives)

This carve-out Insurance carrier’s savings through PPS are in excess of $1 million over the three-year contract term and the pharmacy plan came in 19% below budget. Account management and vendor oversight, along with PPS’s semi-annual audit reporting, were the keys to this client’s success story.

Technology Company (2,400 lives, Virginia)

Analytics

We keep our finger on the pulse of your Pharmacy Benefits Manager.

Our advanced analytics gives you the transparent insight you need to quickly and easily compare PBMs to find the best business partners for your clients and hold them accountable for financial and operational performance. Plus, our cloud-based contract compliance engine validates that your PBM is meeting its contractual obligations on an ongoing basis.